Organization
SERENITY HEALTH
Active
Organization
SERENITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CAROLOS AFABLE (PRESIDENT)
(888) 442-4325
Entity
Organization
Contact information
Practice address
3901 DUTCHMANS LN STE 105, LOUISVILLE, KY 40207-4726
(888) 442-4325
Mailing address
3901 DUTCHMANS LN STE 105, LOUISVILLE, KY 40207-4726
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/12/2019
Last updated
02/27/2023
Update your record
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